维持性血液透析患者预后的相关影响因素及预测方式概述
An Overview of Related Factors and Predictive Methods for Prognosis of Maintenance Hemodialysis Patients
摘要: 近年来，慢性肾脏疾病患者逐年增加，随着肾功能恶化导致终末期肾脏疾病(ESRD))患者数目上升，维持性血液透析(MHD)是治疗终末期肾病的主要方式之一。国内外多项研究表明与普通人群相比，血液透析患者有更高的死亡风险，预后更差。确定影响MHD患者预后的相关因素尤为重要。本文旨在对目前已知影响维持性血液透析患者预后的相关因素及预测方式进行概述，以便在临床工作中更好地提高其生活质量并改善预后。
Abstract: In recent years, the number of patients with chronic kidney disease is increasing year by year, and the number of patients with end-stage renal disease (ESRD) is increasing along with the deterioration of renal function. Maintenance hemodialysis (MHD) is one of the main methods for the treatment of end-stage renal disease. A number of studies at home and abroad have shown that compared with the general population, hemodialysis patients have a higher risk of death and a worse prognosis. It is particularly important to determine the relevant factors affecting the prognosis of MHD patients. This paper aims to summarize the known factors and prediction methods that affect the prognosis of maintenance hemodialysis patients, so as to better improve the quality of life and improve the prognosis in clinical work.
文章引用：冉海鸿, 巴应贵. 维持性血液透析患者预后的相关影响因素及预测方式概述[J]. 临床医学进展, 2021, 11(3): 1414-1419. https://doi.org/10.12677/ACM.2021.113203

参考文献

[1] National Kidney Foundation (2012) KDOQI Clinical Practice Guideline for Diabetes and CKD: 2012 Update. American Journal of Kidney Diseases, 60, 850-886.
[2] Zhang, L., Wang, F., Wang, L., Wang, W., Liu, B., Liu, J., et al. (2012) Prevalence of Chronic Kidney Disease in China: A Cross-Sectional Survey. Lancet, 379, 815-822. [Google Scholar] [CrossRef] 
[3] Song, K.K., Zhao, D.L., Wang, Y.D., Wang, Y., Sun, X.-F., Miao, L.-N., et al. (2017) Analysis of Factors Associated with Death in Maintenance Hemodialysis Patients: A Multicenter Study in China. Chinese Medical Journal, 130, 885-891. [Google Scholar] [CrossRef] [PubMed]
[4] Nagy, E., Mahmoud, M., El-Kannishy, G. and Sayed-Ahmed, N. (2020) Impact of Malnutrition on Health-Related Quality of Life in Patients on Maintenance Hemodialysis. Therapeutic Apheresis and Dialysis, 1-8. [Google Scholar] [CrossRef] [PubMed]
[5] Zhang, Z., Yin, D., Chen, H., Liu, B., Liu, X., Shan, W., et al. (2020) Evaluation of Anemia, Malnutrition, Mineral, and Bone Disorder for Maintenance Hemodialysis Patients Based on Bioelectrical Impedance Vector Analysis (BIVA). Clinical and Experimental Nephrology, 24, 1162-1176. [Google Scholar] [CrossRef] [PubMed]
[6] Zhu, X., Cai, H., Zhu, M., Zhan, Y., Che, M., Lin, X., et al. (2020) Association of Abdominal Aortic Calcification Estimated by Plain Radiography with Outcomes in Haemodialysis Patients: A 6-Year Follow-Up Study. Nephrology, 25, 559-565. [Google Scholar] [CrossRef] [PubMed]
[7] 刘雪姣, 谢晓东, 程虹, 陈文梅, 陈岚, 卞维静. 甲状旁腺增生在维持性血液透析患者全因死亡和主要不良心脏事件中的作用[J]. 中国血液净化, 2020, 19(9): 592-597.
[8] Hiyamuta, H., Yamada, S., Taniguchi, M., Tokumoto, M., Tsuruya, K., Nakano, T., et al. (2021) Association of Hyperphosphatemia with an Increased Risk of Sudden Death in Patients on Hemodialysis: Ten-Year Outcomes of the Q-Cohort Study. Atherosclerosis, 316, 25-31.
[9] 陈孜瑾, 蒋钻红, 汪知玉, 俞海瑾, 马晓波, 张春丽. 超声评估维持性血液透析患者甲状旁腺增生的临床价值和相关因素分析[J]. 中国血液净化, 2017, 16(2): 108-112.
[10] Harada, T., Sorimachi, H., Obokata, M., Sunaga, H., Ishida, H., Ito, K., et al. (2020) The Relationship between Antecedent Creatinine Decreases and Outcomes in Patients Undergoing Hemodialysis. Hemodialysis International, 24, 89-98. [Google Scholar] [CrossRef] [PubMed]
[11] Kuragano, T., Joki, N., Hase, H., Kitamura, K., Murata, T., Fujimoto, S., et al. (2020) Low Transferrin Saturation (TSAT) and High Ferritin Levels Are Significant Predictors for Cardiovascular and Cardiovascular Disease and Death in Maintenance Hemodialysis Patients. PLoS ONE, 15, e0236277. [Google Scholar] [CrossRef] [PubMed]
[12] Hiratsuka, M., Koyama, K., Takahashi, H., Kasugai, T., Hagita, J., Kondo, A., et al. (2020) Low Plantar Skin Perfusion Pressure Predicts Long-Term Atherosclerotic Vascular Events and Mortality in Maintenance Haemodialysis Patients. Atherosclerosis, 312, 66-71. [Google Scholar] [CrossRef] [PubMed]
[13] Hsieh, H.L., Hsu, S.C., Cheng, H.S., Chen, C.-Y., Huang, W.-C., Sue, Y.-M., et al. (2020) The Influence of Atrial Fibrillation on the Mortality of Incident ESRD Patients Undergoing Maintenance Hemodialysis. PLoS ONE, 15, e0228405. [Google Scholar] [CrossRef] [PubMed]
[14] Lu, X., Zhang, J., Wang, S., Qian, Y. and Han, L. (2020) High Erythropoiesis Resistance Index Is a Significant Predictor of Cardiovascular and All-Cause Mortality in Chinese Maintenance Hemodialysis Patients. Mediators of Inflammation, 2020, Article ID: 1027230. [Google Scholar] [CrossRef] [PubMed]
[15] 陈富华, 王琴, 王筱霞, 牟姗. 血红蛋白联合红细胞分布宽度预测维持性血液透析患者心血管事件的临床研究[J]. 中国中西医结合肾病杂志, 2020, 21(9): 789-791.
[16] Lu, C., Wang, Y., Wang, D., Nie, L., Zhang, Y., Lei, Q., et al. (2020) Hypomagnesemia and Short-Term Mortality in Elderly Maintenance Hemodialysis Patients. Kidney Diseases, 6, 109-118. [Google Scholar] [CrossRef] [PubMed]
[17] Li, P., Schmidt, I.M., Sabbisetti, V., Clarissa Tio, M., Opotowsky, A.R. and Waikar, S.S. (2020) Plasma Endothelin-1 and Risk of Death and Hospitalization in Patients Undergoing Maintenance Hemodialysis. Clinical Journal of the American Society of Nephrology, 15, 784-793. [Google Scholar] [CrossRef] 
[18] 卢进涛, 肖玉芬, 郑孝龙. 高通量血液透析对尿毒症病人心脏舒缩功能及内皮素-1的影响[J]. 安徽医药, 2019, 23(4): 754-757.
[19] Obokata, M., Kurosawa, K., Ishida, H., Ito, K., Ogawa, T., Ando, Y., et al. (2017) Incremental Prognostic Value of Ventricular-Arterial Coupling over Ejection Fraction in Patients with Maintenance Hemodialysis. Journal of the American Society of Echocardiography, 30, 444-453.E2. [Google Scholar] [CrossRef] [PubMed]
[20] 晋强. 高龄维持性血透患者透析感染临床特征及相关危险因素分析[J]. 实用心脑肺血管病杂志, 2020, 28(S1): 23-25.
[21] 杨琨, 李沁芸, 刘佳丽, 夏成云, 张和平. 降钙素原与白细胞计数联合检测在维持性血液透析患者合并肺部感染中的临床诊断价值[J]. 临床肾脏病杂志, 2020, 20(7): 557-561.

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